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Dr.tiwari, Doctor

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Experience: M.D.

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Sustained trauma to index finger of left hand by blunt force

Resolved Question:

Sustained trauma to index finger of left hand by blunt force (finger smashed between two objects). Initially bruised and swollen between MCP and PIP, able to move but with pain. It has been two weeks and bruising gone, but still swollen (reduced) and hard knot formed. Pain tolerable, but uncomfortable to move and with applied pressure. What damage was caused?

Consulting to a doctor will be helpful because still it is not too late for a treatment of even a displaced fracture or torn tendon or tenosynovium.

Dr.tiwari :

Hope this will help you.

Customer:

One more question. If the x-ray shows a fracture isn't treatment going to be splinting and similar course of action? I really want to avoid the expense of medical treatment unless serious damage is possible.

Dr.tiwari :

In undispalced fracture the treatment is only splinting while in the displaced fracture the operative intervention should be done.

Customer:

I know I said one more question, but your comment has triggered a thought. My thought is if it is displaced wouldn't extreme pain be associated with it. the pain is tolerable, just uncomfortable with movement.

Dr.tiwari :

The pain is both in the displaced & undisplaced fracture.The pain occur due to presence of swelling ,& torn periosteum which is there in both cases.

Dr.tiwari :

Are you there?

Customer:

OK thank you. I just want to make sure I understand and then I am done. My main concern is the hard knot and whether it will heal on its own and disappear. If the knot is from an undisplaced fracture, is that ossification of bone and will it heal itself?

I will tell you that...the things you have to go through to be an Expert are quite rigorous.

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